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Intraoperative Consultation in Head and Neck Pathology
Bruce M. Wenig, M.D.
Mary S. Richardson, D.D.S., M.D.
Click on each Case number below to display the text and references for that section
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A 45 year old female with a known history of a T1 oral tongue squamous cell carcinoma treated by irradiation presented 2 years later with a 2.8 cm lateral tongue mass in the location of the previous tumor. The mass was resected.
A 56 year-old male presented with epistaxis. An intranasal mass was identified and a biopsy obtained.
A 32 year old male presented with a palate mass. The result of a biopsy was that of "salivary gland neoplasm, not further specified" with the recommendation for surgical resection.
A 36 year old Hispanic male presented with recurrent right parotid gland swelling. The lesion had been biopsied on numerous previous occasions.
A 60 year old woman presented with a neck mass in the area of the tail of the parotid gland. Fine needle aspiration biopsy was non-diagnostic with only stroma present. A neck exploration was performed.
A 26 year old woman presented with an enlarging mass in the right lobe of the thyroid gland. Fine needle aspiration biopsy was diagnosed as a "cellular follicular neoplasm with cytologic atypia"; surgical resection was recommended and was subsequently performed.
A 51 year old man presented with increasing fatigue and a palpable neck mass. Laboratory evaluation showed decrease renal function; serum calcium was normal. FNAB was performed and diagnosed as "cellular proliferation with a microfollicular pattern of thyroid or parathyroid origin". A neck exploration was subsequently performed.
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